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Pathology Quiz Case 1
Jeannie H. Chung, MD;
Jeffrey H. Spiegel, MD;
Mark A. Varvares, MD
Massachusetts Eye and Ear Infirmary (Drs Chung and Varvares) and
Boston University School of Medicine (Dr Spiegel), Boston, Mass
Arch Otolaryngol Head Neck Surg. 2002;128:75-78.
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A 53-YEAR-OLD man presented with recurrent basal cell carcinoma (BCC)
in his left infraorbital region. Seven years earlier, he had undergone 3 Mohs
excisions of a keratotic facial BCC. His medical history also included B-cell
small lymphocytic lymphoma with abdominal and spinal involvement. Treatment
for the lymphoma involved surgical debridement of the lower thoracolumbar
spine as well as ongoing chemotherapy for the past 10 years for a waxing and
waning course. At the time of presentation, the patient still had residual
BCC in the infraorbital region. Examination revealed a firm, indurated 1 x
1.5-cm left infraorbital lesion adhering to surrounding tissues, without involvement
of the lateral nasal wall. The results of the rest of the head and neck examination
were normal. A computed tomographic scan showed no bony involvement. The patient
then underwent an extensive excision with cervicofacial . . . [Full Text of this Article]
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